Epigastric hernia

These hernias are a protrusion of preperitoneal fat and peritoneum through the fibers of the rectal sheath that decusses in the midline (white line) between the xiphoid process and the navel. Epigastric hernias often do not shrink, invariably have small aponeurotic defects, are sometimes multiple, and often cause discomfort disproportionate to their size. It is easy to repair them through a vertical incision in the skin through a hernioplasty with preperitoneal mesh, sometimes laparoscopic surgery may be indicated.